Does High Dose Vitamin D Decrease Falls or Fractures in the Elderly?

Several meta-analyses have come to different conclusions regarding the effectiveness of vitamin D and calcium supplementation on fractures in seniors. Researchers analyzed the literature and concluded that vitamin D3 in doses of 400 - 800 IU per day without calcium did not reduce fracture risk. However, higher doses - 700 IU to 800 IU per day - combined with calcium supplementation reduced nonvertebral fractures and hip fractures.

However, they found via subgroup analysis that the effect on hip fractures is limited to older people living in institutions and is not seen in community-dwelling elderly. Vitamin D supplementation also has a small and inconsistent effect on the prevention of falls, reducing the likelihood by approximately 20%. Another recent meta-analysis found a similar decrease.

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